EDWARD L COLLOTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

EDWARD L

Last Name

COLLOTON

Suffix

Business Name

EDWARD L COLLOTON MD

Original Issue Date

10/05/1987

Effective Date

05/10/2017

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021